Endometritis is an inflammation or irritation of the lining of the uterus (the endometrium). It is not the same as endometriosis.
Endometritis is caused by an infection in the uterus. It can be due to chlamydia, gonorrhea, tuberculosis, or a mix of normal vaginal bacteria. It is more likely to occur after miscarriage or childbirth. It is also more common after a long labor or C-section.
The risk of endometritis is higher after having a pelvic procedure that is done through the cervix. Such procedures include:
Endometritis can occur at the same time as other pelvic infections.
Symptoms may include:
The health care provider will perform a physical exam with a pelvic exam. Your uterus and cervix may be tender and the provider may not hear bowel sounds. You may have cervical discharge.
The following tests may be performed:
You will need to take antibiotics to treat the infection and prevent complications. Finish all your medicine if you have been given antibiotics after a pelvic procedure. Also, go to all follow-up visits with your provider.
You may need to be treated in the hospital if your symptoms are severe or occur after childbirth.
Other treatments may involve:
Sexual partners may need to be treated if the condition is caused by a sexually transmitted infection (STI).
In most cases, the condition goes away with antibiotics. Untreated endometritis can lead to more serious infections and complications.
Complications may include:
Call your provider if you have symptoms of endometritis.
Call right away if symptoms occur after:
Endometritis is caused by STIs. To help prevent endometritis from STIs:
Women having a C-section may have antibiotics before the procedure to prevent infections.
Reviewed By: Peter J. Chen, MD, FACOG, Associate Professor of OBGYN at Cooper Medical School at Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.